9. Oral Surgery

Question 1

Extraction indications (6)

Upper forceps (5)
Lower forceps (4)

Function of elevators
Types of elevators (3)

Answer 1

Clinical, radiographic, non-restorable tooth (gross caries, advanced periodontal disease, pulp necrosis, apical infection), symptomatic partially erupted tooth, traumatic position, orthodontic indications

Upper straights, universals, roots, R/L molars
Lower universals, roots, molars, cowhorns

Loosen tooth, easier for forceps to remove
Couplands, Cryers, Warwick James’

Question 2

Post-operative extraction instructions

Expected effects (6)
Pain management (2)
Bleeding management (3)
Avoid (3)
Types of instructions (2)

Answer 2

Pain, bleeding, adjacent tooth sensitivity, TMJ pain, swelling, bruising

Ibuprofen, paracetamol

Rinse mouth with warm salty water. Damp gauze x2, 30mins each - then contact practice/A&E

Same day BP rise, hot/hard foods, smoking

Verbal and written (with emergency contacts)